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California ACEP lifeline FALL 2018 2018 LEGISLATIVE SESSION UPDATE Page 6 TABLE OF CONTENTS | 6 10 4 PRESIDENT’S MESSAGE 6 ADVOCACY UPDATE 10 GUEST ARTICLE 20 ANNOUNCEMENTS CHAPTER 2018 21 UPCOMING MEETINGS & DEADLINES LEGISLATIVE AWARD SESSION UPDATE Recipients 22 CAREER OPPORTUNITIES California ACEP FALL 2018 Board of Directors & Index of Advertisers Lifeline Editors Roster ADVANCED 2018 Sponsors and Exhibitors Page 18 2018-19 Board of Directors Chi Perlroth, MD, FACEP, President Vivian Reyes, MD, FACEP, President-Elect Vikant Gulati, MD, FACEP, Vice President Emergency Medical Specialists of Orange County Page 22 Sujal Mandavia, MD, FACEP, Treasurer Lori Winston, MD, FACEP, Secretary Aimee Moulin, MD, FACEP, Immediate Past President Harrison Alter, MD, FACEP (At-Large) Reb Close, MD, FACEP Independent Emergency Physicians Consortium Page 18 John Coburn, MD, FACEP Carrieann Drenten, MD, FACEP Jorge Fernandez, MD Michael Gertz, MD, FACEP Mission Hospital Page 22 Doug Gibson, MD, FACEP John Ludlow, MD, MBA, FACEP Karen Murrell, MD, MBA, FACEP Mitesh Patel, MD, MBA, FACHE, CPE Philip Fagan, MD Page 22 Hunter Pattison, MD (CAL/EMRA President) Patrick Um, MD, FACEP, FAAEM Advocacy Fellowship Carrieann Drenten, MD, FACEP, Advocacy Fellowship Director Ventura Emergency Physicians Page 22 Sam Jeppsen, MD, Advocacy Fellow Lifeline Medical Editor Richard Obler, MD, FACEP, Medical Editor Vituity Page 5 Lifeline Staff Editors Elena Lopez-Gusman, Executive Director Kelsey McQuaid-Craig, MPA, Director of Policy and Programs Lucia Romo, Membership and Education Coordinator Yosemite Page 19 Lauren Brown, Government Affairs Associate Meri Thresher, Administrative Assistant 2 | LIFELINE a forum for emergency physicians in california WELCOME new members! Leonardo Aliaga, MD Steven E. Germany Michael Niechayev Justin J. Assioun Mark Shane Gillispie Malena A. Outhav, MD Salil Babbar Brett David Goodfriend Andres E. Park Linda Baldwin, OMS IV Nicole R. Guillen, MD Akash R. Patel Agnieszka Bar Aaron Heerboth, MD Benjamin Daniel Pirotte Neev Bhupen Batavia Jonathan Jong Nadija Rieser Kersti Bellardi Owen Daniel Kemp, MD Michael Joseph Rushton Michael Charles Bermudez, MD Ellen Bess Kettler Paarth Shah Kelsey Jane Burson Faraz A. Khan Ashwin Rohan Sharma Crista Cabahug Kristen Kobayashi Valerie Stone Clelia Alexandra Clark Katherine Ku Anthony Torres Abdelhamid Fayez Dalia Tianci Liu Hurnan Vongsachang Mark Raymond DeBuse, MD Arion Lochner Peter Vuong David Diaz Conner Marsden Yvette Wang Pradeep Glen D'Souza Nahal Massoudi Eric Wetzel Micaela Finnegan Vikash D. Mishra, MD Andrew Wong Jorge Garcia Michelle Nguyen Julia Yip 100% GROUPS Central Coast Emergency Physicians Loma Linda Emergency Physicians Tri-City Emergency Medical Group Emergency Medicine Specialists of Napa Valley Emergency Medical Group University of California, Irvine Medical Orange County Newport Emergency Medical Group, Inc Center Emergency Physicians Emergent Medical Associates at Hoag Hospital Front Line Emergency Care Specialists Pacific Emergency Providers, APC FALL 2018 | 3 PRESIDENT’S MESSAGE | THE GREAT EQUALIZERS If you can humor me for a second with this analogy: needs are not met otherwise. We are giving vaccinations such as Tdap to prevent tetanus On a hot day, droves of people arrive at the beach, with their families and beach (and diphtheria and pertussis). We are giving chairs in tow, looking for a nice spot to lay down the kids and ice chests and Medication Assisted Treatment to patients start enjoying the sunny day. Regardless of the house you live in, the car you with narcotic addiction and coordinating By Chi Perlroth, their care and path to recovery. We are using drive, and the job position you hold, anyone can come to enjoy the beach. This Smart Medical Clearance forms to medically MD, FACEP is where you can find a wide cross-section of society using a public and natural clear psychiatric patients in a safe, timely, and resource together to do the same thing—enjoy time outdoors with friends and financially efficient manner. We implement Intervention Programs for drunk drivers seen family. I call the beach, the Great Equalizer. in our EDs. As an organization we support I have viewed the Emergency Department(ED) and lives of our society and community ballot measures like Proposition 2 that similarly. No matter your background, your beyond the doors of our ED?” increase mental health care and housing to ease homelessness in California. insurance plan, your status or wealth, you It is well understood and supported by are welcomed into our doors and we are research that if you are homeless you have Each community has a different set of social ready to take care of you with the best that worse health outcomes and four to nine challenges. Even hospital executives agree medicine and technology has to offer. Sadly, times higher mortality than those who are that improving population health is critical the similarities end there. Depending on your not homeless. If you have a psychiatric illness, in improving healthcare, but feel there are insurance type or status, you may not be able your median life expectancy decreases by many barriers to successfully deploying to get prompt follow up with a specialist that 10.1 years while ED visits related to psychiatric population health programs. Here is where is able to manage your complex medical illness have steadily risen. Well, no kidding, the science of Social Emergency Medicine comes in. It is a rapidly growing field. By problem. Depending on your social situation right? Every day we evaluate all of these using a three-prong approach—Research, and the money in your pocket, you may patients, stabilize them, and then discharge, Advocacy, and Education—we can use the not be able to get a ride to your doctors’ transfer, or admit them. But when do we take perspective of the ED to find patterns of appointments. Depending on your lot in life a moment to assess if you made a difference in health inequities, identify social needs that and the balance in your bank account, you their outcomes? How many times do we see contribute to disease, and find solutions may get the best health care in the world or these patients in our EDs and think we don’t to improve health disparities in vulnerable one of the worst. have the time to do something to change the populations. Sound like soft science? There is We have been talking about societal inequities course of their health outcomes? What do we abundant and rigorous research being done for years. Because of, or regardless of, EMTALA, do to intervene with the young drivers who to help us understand what social needs we have looked at ourselves as the white hat arrive hurt or having hurt someone else by affect the health of our patients and I and the specialty - the one that takes care of the sick driving drunk or high? How do we care for California ACEP Board will help use advocacy AND the poor. As the conversation continues the withdrawing narcotic-dependent patient and dissemination of this research to help all to change to include terms like “social who keeps coming to the ED because she has emergency physicians take better care of our determinants of health,” “care coordination,” nowhere else to go when her symptoms get patients in the near future. and “preventable visits or readmissions,” some severe? We, emergency physicians, are our patients’ have replied with “that’s a societal problem” Many of us are lucky to have social workers best advocates because we see the wide or “that’s the government’s problem.” When and case managers in our EDs for several variety of societal problems and we see the have we as a specialty ever stopped solving hours a day. They help provide resources for societal or governmental problems? results of our systems’ failures daily. Maybe patients with unmet social needs and assist in this way we become the Great Equalizers. In my upcoming year as President of California in getting the right level of follow up at the Roy Spence, speaker at the 50th Anniversary ACEP, I feel so thankful to be surrounded by a right place. However, during after-hours of ACEP this month remarked, “Aristotle may group of incredibly diverse and experienced when those resources have gone home or have said it the best. ‘Where your talents and Board Members who are already hard at work if we never had those resources in our EDs the needs of the world cross, there lies your tackling the issues that we all face through in the first place, we excuse ourselves by vocation.’” Thank you for all that you do every legislation, practice management, education, thinking we are not primary care physicians day. n and research. Our new Member At-Large Dr. or social workers - we did not train in life- Harrison Alter joined our Board this year to saving Emergency Medicine to spend our In service and gratitude, help us answer some of the questions many own time doing this. I submit to you, we of us have been asking, like “How can we, as already are filling the roles of primary care and Chi Perlroth, MD emergency physicians, improve the health social work, meeting the needs where the President California ACEP 4 | LIFELINE a forum for emergency physicians in california Because your next step could be the biggest. At Vituity, we’re here to guide you, no matter where you’re headed. Our ownership-based culture supports career development, mentorship, and leadership. Our real-world perspective o� ers clarity for the road ahead. Vituity. Acute Care Practice & Management. Take the next step and download our Women’s Guide for Career Momentum at go.vituity.com/Support Vituity® is a registered trademark of CEP America, LLC. © CEP America, LLC, All Rights Reserved. ADVOCACY UPDATE | 2018 LEGISLATIVE SESSION UPDATE By Tim Madden, Elena Lopez-Gusman, and Lauren Brown n September 30, the 2017-18 Legislative Session officially came to a close.
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